| NPI | 1568015246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KETCHER Owner 480-215-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-04-04 |